Individual provider Active NPI

Chris Michael Pinkham, M.D.

  • Family Medicine Physician
  • Parkville, MO
National Provider Identifier
1104078385
Registry record updated Oct 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R4P48 Issued in MO
Practice address
8301 N Harbour PL
Parkville, MO 64152-4313
Phone
(816) 584-8934
Fax
(816) 584-8933
NPI assigned
Oct 19, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R4P48 MO Primary

Addresses

Primary practice location

8301 N Harbour PL
Parkville, MO 64152-4313

Mailing address

8301 N Harbour PL
Parkville, MO 64152-4313
Phone (816) 584-8934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224374400000",
    "number": "1104078385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 N HARBOUR PL",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641524313",
            "telephone_number": "816-584-8934",
            "fax_number": "816-584-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 N HARBOUR PL",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641524313",
            "telephone_number": "816-584-8934",
            "fax_number": "816-584-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKHAM",
        "first_name": "CHRIS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-19",
        "last_updated": "2008-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R4P48",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.